Lab Case 132

A 29 year old female presents to your ED complaining of crampy abdominal pain, nausea, vomiting, polyuria and shortness of breath. She is 2 months post partum after normal vaginal delivery.

Vital signs:

BP  100/70

PR  100/min

RR 30/min

T  37

Her blood results show:pH  6.94  (7.35-7.45)

pCO2  6

HCO3  1  (22-26)

Na  144  (137-145  mmol/l)

K  4.9  (3.5-5  mmol/l)

Cl  117  (99-111  mmol/l)

Creatinine  73

Glucose  9.8

Lactate  1.5

ketones  6.0

Describe and interpret her blood results